| NPI | 1932694767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A HODGE Office Manager 248-253-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301043370) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2021-05-20 |